LIQUID PARAFFIN + GLYCEROL + TYLOXAPOL + POLOXAMER-188 + TROMETAMOL HYDROCHLORIDE + TROMETAMOL + CETALKONIUM CHLORIDE
liquid paraffin + glycerol + tyloxapol + poloxamer-188 + trometamol hydrochloride
+ trometamol + cetalkonium chloride eye drops, 10 mL
LIQUID PARAFFIN + GLYCEROL + TYLOXAPOL + POLOXAMER-188 + TROMETAMOL HYDROCHLORIDE + TROMETAMOL + CETALKONIUM CHLORIDE (14352J)
14352J
Body System:
Manner of administration:Application To The Eye
Restriction 15559
Indication: Severe dry eye syndrome
Quantities & Cost
| Max qty packs | Max qty units | # of repeats | DPMQ | Max safety net | General Patient Charge |
|---|---|---|---|---|---|
| Max qty packs: 2 | Max qty units: 2 | # of repeats: 5 | DPMQ: $58.48 | Max safety net: $25.00 | General Patient Charge: $25.00 |
| Available brands | |||||
| Cationorm | |||||
